What four conditions must be met for a patient to be considered average-risk for cervical cancer screening?

• A. Has a cervix; is asymptomatic; has no history of abnormal screening; has no DES exposure
• B. Has a cervix; is asymptomatic; has a history of abnormal screening; has DES exposure
• C. Has a cervix; is symptomatic; has no history of abnormal screening; has DES exposure
• D. Has no cervix; is asymptomatic; has no DES exposure; has DES exposure

Answer: (A)

The main idea is identifying who counts as average risk for cervical cancer screening. To be considered average risk, four things must be true: the patient has a cervix, is asymptomatic, has no history of abnormal cervical screening results, and has no DES exposure. Having a cervix is necessary because screening targets the cervix; without it, routine cervical cancer screening isn’t applicable. Being asymptomatic means there are no current signs that would push you to pursue a different evaluation. A history of abnormal screening indicates prior cervical pathology, which changes risk level and follow‑up needs. DES exposure in utero increases risk for cervical/vaginal tract abnormalities, so someone with DES exposure is not considered average risk and would warrant tailored screening considerations.